Roosevelt Racers STEM Workshop Registration Form
This form is to be completed by a middle school official before March 23rd. Each school can register up to three teams, and each team consists of three students. Extra teams will only be considered as space permits. Individual students unable to organize a team can register individually. We encourage signing up early in order to secure a spot for the March 28th round. A confirmation email will be sent out by March 25th.
Name of Middle School: *
Name of Lead Teacher / Chaperone: *
Mobile Number of Lead Teacher / Chaperone: *
Email of Lead Teacher / Chaperone *
Total Number of Students: *
Total Number of Teams: *
Team #1 Name followed by member names (First and last, please separate names with a comma.) *
Team #2 Name followed by member names (First and last, please separate names with a comma.)
Team #3 Name followed by member names (First and last, please separate names with a comma.)
Extra Team #1 Name followed by member names (First and last, please separate names with a comma.)
Extra Team #2 Name followed by member names (First and last, please separate names with a comma.)
Total Number of Individuals Without Teams:
Names of All Individuals (First and Last):
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